Abstract
I started my interest in contact lenses at the time when extended wear of soft lenses became a useful possibility. Oxygen was the buzz word and working with Irving Fatt revealed many interesting concepts. As time has gone by, materials have improved, modalities have changed, care has been reformulated but we still have problems with both extended and daily wear. This Medal Address will try to put all the clinical implications and grouses, including political and educational factors, into context for this decade and beyond. This is in the hope that one day we will not have to say to patients that anything new that is being tried is two steps forward but one step back.
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